Provider Demographics
NPI:1356032023
Name:SHCHERBA, NATALLIA (LAC)
Entity type:Individual
Prefix:
First Name:NATALLIA
Middle Name:
Last Name:SHCHERBA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3743 LYME AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-1321
Mailing Address - Country:US
Mailing Address - Phone:347-703-0601
Mailing Address - Fax:
Practice Address - Street 1:3743 LYME AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-1321
Practice Address - Country:US
Practice Address - Phone:347-703-0601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7329171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty